CN102600461B - Give outer body ripe dendritic cells treatment tumour - Google Patents

Give outer body ripe dendritic cells treatment tumour Download PDF

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CN102600461B
CN102600461B CN201210027703.4A CN201210027703A CN102600461B CN 102600461 B CN102600461 B CN 102600461B CN 201210027703 A CN201210027703 A CN 201210027703A CN 102600461 B CN102600461 B CN 102600461B
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M·L·博希
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Northwest Biotherapeutics LLC
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Abstract

The present invention provides the cell colony for including Partial mature dendritic cells that can be used for tumour individual administration.The dendritic cells of the Partial mature of about 1 about 10 hour or more long are acted on dendritic cell maturation reagent, tumour antigen, and full maturity effectively can be absorbed and process in tumor locus, at the lymph node that then can migrate to treatment individual.Once reaching in lymph node, full ripe antigen offers the appropriate cell factor (such as TNF α and IL 12) of dendritic cells secretion, and the follow-up anti-tumor immune response of induction is acted on T cell.

Description

Give outer body ripe dendritic cells treatment tumour
The application is Application No. 200380108975.6, and the applying date is the division of the application of the same name on December 5th, 2003 Application.
Related application
This application claims the priority of U.S. Provisional Application filed in 6 days December in 2002 60/431,267, draw herein Enter entire contents as reference.
Background of invention
Dendritic cells (DCs) are considered as the preferred carrier of tumour active immunotherapy.Animal experiment shows, based on DC's Immunotherapy, which has, protects mice against the potentiality that generation tumour has formed tumour with elimination.This success reappears at least in part In small-scale human clinical trial.Tested from small-scale security or theoretical validation, to illustrating activity or validity The transition of large-scale experiment, is stagnated and (is seen below) due to the arduous and heavy of DC preparations.Therefore, although this product has There is very big treatment potentiality, few companies are interested in developing the tumor vaccine based on DC.
Intra-tumor (IT) injection DCs is a kind of immunotherapy based on DC of special shape.After injection, DCs from apoptosis or Antigen is absorbed in dying tumour cell, and moves to lymph node and offers antigen to T cell.Sent out actually in animal model Validity (Cand ido et al., the Cancer Res.61 related to the apoptosis degree of tumour of existing this treatment:228-236, 2001), it shows this method with using chemotherapy or radiation therapy treatment tumour fully compatible before injection DCs.In addition, There are several groups to prove, this therapeutic alliance to the tumour that has been formed especially effectively (Nikitina et al., Int.J.Cancer 94:825-833,2001;Tanaka et al., Int.J.Cancer 101:265-269,2002;Tong etc. People, Cancer Res.61:7530-7535,2001).
Because tumour cell is the source of antigen, need to select and prepare tumour antigen before intra-tumoral injection, just as mesh It is preceding they applied in most of external methods treated based on DC as.The selection of tumour antigen is usually by company to proprietary The requirement of status is driven, and whether a small number of tumour antigens differentiated so far can provide significant clinical efficacy and need Prove.In addition, univalent vaccine is generally produced using this tumour antigen, if tumour cell lowers the expression water of immunizing antigen Flat, univalent vaccine may lose its effect.Certainly, tumour is manufactured under conditions of good manufacturing practive(GMP) (GMP) requirement is met The requirement of antigen is traditional based on adding extra-pay on DC immunization methods.
DC s intra-tumoral injection makes dendritic cells be in immunosuppressive tumor environment.Known cancer produce cell because Son, it inactivates DC s or t cell responses can be made to be inclined to the less Th2- types reaction of effect.Several research groups are repaiied using heredity The DCs of decorations, to overcome these Inhibitory Effects, particular by the generation (IL-12 of cytokine interleukin element 12;Nishioka Et al., Cancer Res.59:4035-4041,1999;Melero etc., Gene Therapy 6:1779-1784,1999) or table Up to CD40 aglucons (Kikuchi et al., Blood 96:91-99,2000).The result of these groups description is encouraging, further Intra-tumoral injection DCs is indicated as a kind of feasibility for the treatment of method.
Triozzi et al. (Cancer 89:2647-2654,2000) describe metastasis melanin tumor or patient with breast cancer DCs IT injection.They obtain the result of tumor regression in 4 melanoma patients and 2 patients with mastocarcinoma.Disappear disease The T cell of stove biopsy display infiltration, shows that DC actually have activated the immune response for tumour cell.It is all this Injection DCs is feasible in a little as shown by data human tumors, can provide significant clinical efficacy.But, it has been observed that MHC II classes antigen and B7-2 costimulatory moleculeses have obvious downward to the DCs of injection.The downward of these key molecules will be reduced DCs immunostimulatory potential, but as provided by the present invention, this can be avoided by the Partial mature of DCs before administration.
DCs is present in peripheral tissues in prematurity form, prepares intake and process antigen.Exactly these prematurities are thin Born of the same parents, in the presence of GM-CSF and IL-4, are most closely simulated by the DCs produced by monocyte.A variety of stimulations can start DCs's Cell loses it and effectively absorbs the ability of antigen in maturation, maturation, and obtains its T cell stimulatory function.This process is Complicated, at least to continue to complete for 48 hours in vitro.Another ripe result is that cell migration properties occur Change.For example, some chemokine receptors of Maturation induction, including CCR7, CCR7 guide cell to the T cell area for flowing to lymph node Domain, the ripe DCs activation T cell in the region, resistance I classes and II class MHC molecules are offered to the antigen on DC surfaces.
Inducing tolerance intersects (itself) antigen offered relevant (Kurts et al., J.Exp.Med.186 with DCs:239- 245,1997), hypothesis primarily now assumes that immature DC constantly offers antigen to immune system, to maintain tolerance (Kurts et al., J.Exp.Med.184:923-930,1996), it is believed that cylinder mature DCs is needed to produce effective immune thorn Swash.Clear and definite DC it is ripe there may be immunostimulation or inhibitive ability of immunity DCs (Chakraborty et al., Clin.Immunol.94:88-98,1999).Not yet illustrating now causes ripe stimulant any in two kinds of results Definite property, but generally receive immunostimulation DCs generation IL-12 and express CD40 aglucons (Albert et al., Nature Immunol.2:988-989,2001;The Supp l.EHA 4 of Lanzavecchia, Haematologica 84:23-25, 1999).Therefore, the DC of Partial mature should can be used for IT injections, particularly when the known thorn for making immature dendritic cell ripe When sharp thing can cause the expression of CD40 aglucons and IL-12 generation.
Summary of the invention
The present invention provides a kind of method, for producing anti-tumor immune response, including give containing outer body into The cell colony of ripe dendritic cells, so that individual is upon administration, the dendritic cells of Partial mature retain intake tumour antigen Ability simultaneously can induce immune response.Although the overall immunosuppressive environment of intra-tumor, this method allows in tumour and tumour bedding (bed) effective intake and processing in tumour antigen.It is this immune due to the negative effect to dendritic cells immunostimulating The function of dendritic cells can be hindered by suppressing environment.Moreover, the dendritic cells of tumor maturation can not be given, because the cell can not have Effect ground process antigen.
The dendritic cells of Partial mature can be administered directly to already present intra-tumor.Moreover, tumour bedding can be administered to, swollen Tissue regions inside and around knurl, can treatment be surgical operation remove or tumor resection before or after carry out, chemotherapy, Carried out prior to, concurrently with, or after radiotherapy or its combined therapy, etc..The dendritic cells of Partial mature can also be administered to direct stream To tumour or the lymph node or lymphatic districts of peritumoral area.In addition, the dendritic cells of Partial mature can be administered to directly is Tumour or tumour bedding or tumor afflicted organ or conveyed blood or the systemic vascular or lymph of lymph with tumour In region.Further, the dendritic cells of Partial mature can generally be administered to circulation or lymphatic system, so that cell can be transported To tumor region.
Available dendritic cells of the invention or its precursor, can be from such as skin, spleen, marrow, thymus gland, lymph node, umbilical cord Obtained in blood or peripheral blood etc..In addition, the health that dendritic cells can match from individual to be treated or with individual HLA to be treated Body is obtained.Before being contacted with maturing agent and being configured to the composition for individual administration, dendritic cells or its precursor can be with cold Freeze and preserve.
Dendritic cells for the inventive method are Partial matures in vitro.For the appropriate of inducing dendritic cell maturation Reagent includes, for example, but not limited to, BCG vaccine (BCG), interferon gamma (I FN γ), lipopolysaccharides (LPS), tumor necrosis factor α (TNFα);Imidazoquinolie compounds, such as imidazoquinolie -4- amines, such as 4- amino -2- ethoxyl methyls-α, α - Dimethyl -1H- imidazos [4,5-c] -1- ethanol (being named as R848) or 1- (2- methyl-propyls) -1H- imidazos [4,5-c] quinoline Quinoline -4- amine, and its derivative (WO00/47719 is fully incorporated by reference herein), the double-strand polyribonucleotide of synthesis, example Such as poly- [I]:Poly- [C (12) U], etc.;Toll-like receptor (TLR) activator, such as TLR-3, TLR-4, TLR-7 and/or TLR- 9;Containing nucleotide sequence of non A-G hepatitis ripe known induction DC etc., or its combination.
BCG for the present invention may include complete BCG, BCG cell wall constituents, BCG- sources Lipoarabidomannans, or any other components of BCG.In certain embodiments, BCG is heat inactivation BCG or formal Woods handles BCG.Although alternatively BCG can be used alone, general BCG and IFN γ are used in combination and carry out inducing dendritic cell Partial mature.The general every milliliter of tissue culture medium (TCM) of BCG effective dose is about 105-107Cfu, the effective dose of IFN γ is general every milliliter Tissue culture medium (TCM) is about 100-1000 units.Dendritic cells activator is imidazoquinolie R898 in another embodiment. TLR-4 activators R898 effective dose, usually using about 1-50 μ g/ml, is more often 5-10 μ with every milliliter of tissue culture medium (TCM) g.Can be used alone imidazoquinolie, and also it can be used in combination with the BCG and/or IFN γ of such as effective dose.
Present invention additionally comprises composition, the compound is included, under dendritic cell maturation agent existence condition outer body into Ripe dendritic cells, physiologically acceptable carrier, buffer solution and/or excipient in combination, for suffering from tumour individual administration. Partial mature dendritic cells in the present invention used by composition generally raise costimulatory molecules such as, but not limited to CD80, CD86 Or CD54 expression.The cell can be expressed or not expression cell surface marker CD83, but remain to intake and process antigen.It is described Composition generally includes about 102-1010, may also comprise the ripe dendritic cells of more parts.Before administration individual, dendritic cells portion Be divided into it is ripe after can freezen protective for a period of time.Cell can be separated out of tumor patient body, be included for preparing the present composition Partial mature BMDC, or separate cell from the patient HLA individuals matched, the dendron for preparing Partial mature Cell.
Detailed description of the invention
Dendritic cells are a variety of antigen presenting cells found in a variety of lymphs and non-lymphoid tissue.(see Liu, Cell, 106:259-62(2001);Steinman, Ann.Rev.Immunol.9:271-96(1991)).Dendritic cells include spleen Masking (veiled) cell in lymphoid dendritic cell, epidermis Langerhans' cells and blood circulation.In general, according to it Form, surface II classes MHC high level expression and lack some other T cells, B cell, monocyte and NK The surface marker of expression divides dendron cell mass.Specifically, (also referred to as monokaryon is thin for the dendritic cells in monocyte-source Born of the same parents' dendritic cells) CD11c, CD80, CD86 are often expressed as, it is HLA-DR+, but be CD14-
On the contrary, the precursor (generally monocyte) of monocytic dendritic cells is usually CD14+.Monocytic dendritic cell is thin The precursor of born of the same parents can have their tissue from any, specifically lymphoid tissue, such as obtained in spleen, marrow, lymph node and thymus gland .The precursor of monocytic dendritic cells can also be separated from the circulatory system.Peripheral blood is also monocytic dendritic cell precursor The source that is easy to get.Cord blood is another source of monocytic dendritic cell precursor.Monokaryon can be separated from a variety of organisms Immune response in the precursor of cells Dendritic cells, wherein organism can trigger.This kind of organism includes animal, for example, wrap Include the mankind and non-human animal, such as primate, mammal (including dog, cat, mouse and rat), birds (including chicken) And its genetically modified organism.
In certain embodiments, from health volunteer or it can need in subject's body of immunostimulation, separation monokaryon is thin The precursor of born of the same parents' dendritic cells and/or immature dendritic cells, such as that tumor patient or may benefit from or need cell to exempt from Other subjects (i.e. the subject of bacterium or virus infection etc.) that epidemic disease is stimulated.Dendritic cell precursor and/or immature tree Prominent cell can also be obtained from the HLA- healthy individuals matched, for partial activation and be administered to and needed the HLA- of immunostimulation to match Subject.
Dendritic cell precursor and immature dendritic cells
It is known in the art from a variety of sources include blood and marrow in separation rich in dendritic cell precursor and prematurity dendron The method of the cell colony of cell.For example, can be removed by collecting anticoagulant heparin blood, single blood sampling composition art or leucocyte Method, buffy coat is prepared, rosette, centrifugation, density gradient centrifugation is formed and (for example uses(for example FICOLL-)、(colloidal silica particles (diameter 15-30nm) are coated with non-parsing polyvinylpyrrolidone (PVP)), sucrose etc.), differential lysis of cells, filtering etc., separation dendritic cell precursor and prematurity dendritic cells.In some realities Apply in scheme, can defibrinate former to remove blood platelet and splitting erythrocyte, prepare white for example, by collecting subject's blood Cell mass.Can be for example, byThe methods such as gradient centrifugation, antibody elutriation (panning), optionally for monokaryon Dendritic cell precursors and be enriched with dendritic cell precursor and prematurity dendritic cells.
Dendritic cell precursor and prematurity dendritic cells can be optionally prepared in closed sterile system.It is used herein Term " closed sterile system " or " closed system " refer to reduce or eliminate its exposed to ambient non-sterile or circulation air or Other non-sterile situations.Closed system for separating dendritic cell precursor and prematurity dendritic cells, is typically not included in top Density gradient centrifugation in portion's opening test tube, outdoor cell transfer, in tissue culture plate or unsealing shaking flask cell training Support etc..In a representative embodiment, closed system is allowed in be not exposed to non-sterile air in the case of, by dendron Cell precursors and prematurity dendritic cells are transferred aseptically to from initial collection device in sealable tissue culture dishes.
Another is reported is for separating the method for dendritic cell precursor, using commercialization processing plastic matrix (for example Globule or magnetic bead), the monocyte and other " non-dendritic cell precursors " of selective removal attachment are (see such as United States Patent (USP) Numbers 5,994,126 and 5,851,756).The monocyte and non-dendritic cell precursor of attachment are discarded, retains non-adherent cell, is used In in vitro culture and maturation.In another method, the cell culture of single blood sampling composition art adds thereto in plastic culture bag Enter plastics i.e. polystyrene or styrene microcarrier bead to improve the surface area of sack.Cell fully cultivates a period of time, extremely Some cell adherences wash away non-adherent cell on pearl from bag.(Maffei et al., Transfusion 40:1419- 1420(2000);WO 02/44338, is hereby incorporated by reference).
In some other embodiments, monocytic dendritic cell precursor by with monocyte binding matrix adhesion and Separation, as described in WO 03/010292, the disclosure of which is incorporated herein by reference.For example, leucocyte group is (such as by white thin Born of the same parents remove method separation) it can be contacted with the adhering substrate of monocytic dendritic cell precursor.When leucocyte group contacts with matrix, Monocytic dendritic cell precursor in leukocyte population is preferentially adhered in matrix.Other leucocytes (including other potentialities Dendritic cell precursor) reduction of binding matrix affinity, so as to allow the dendritic cell precursor priority enrichment of monocyte in matrix On surface.
Appropriate matrix includes, those larger matrix of the ratio between such as surface area and volume.Matrix can be for example micro- Grain or fibrous matrix.Appropriate matrix of microparticles includes, for example the coated plastic particles of glass granules, plastic particles, glass, glass The coated ps particle of glass and other be suitable to adsorbed proteins bead.The fibrous matrix used suitable for the present invention includes Microcapillary and microvillose membrane etc..Particulate or fibrous matrix are not generally reducing the situation of adherent cell viability substantially Under, allow to elute the monocytic dendritic cell precursor of adhesion.Particulate or fibrous matrix can be it is substantially non-porous, To elute monocytic dendritic cell precursor or dendritic cells from matrix." substantially non-porous " matrix refer to present at least at Most of stomata in matrix is smaller than cell, so that the cell of Medium Culture trapping minimize.
By adding binding medium, optionally strengthen the adhesion of monocytic dendritic cell precursor and matrix.Appropriate Binding medium includes monocytic dendritic cell precursor culture medium (such as AIM-RPMI 1640, DMEM, X-VIVO Etc.), supplement individually or in any combination such as cell factor (such as granulocyte/macrophage colony stimulatory factor (GM- CSF), interleukin-4 (IL-4), or interleukin-13 (IL-13));Blood plasma, serum (such as human serum, such as it is autologous or Allogeneic serum);The protein of purifying, such as seralbumin;Bivalent cation (such as calcium and/or magnesium ion);And other have Help the molecule that monocytic dendritic cell precursor and substrate specificity are adhered to, or prevent non-monocytic cells dendritic cell precursor with The molecule of matrix attachment.In certain embodiments, blood plasma or serum heated can be inactivated.Heat inactivated blood plasma both can be Can also be allosome with leucocyte consubstantiality.
After monocytic dendritic cell precursor is adhered in matrix, before non-adhering leucocyte and monocytic dendritic cells Body/base complex is separated.Any appropriate method is used equally for the separation of non-adherent cell and compound.For example, can sink The mixture of shallow lake non-adhering leucocyte and compound, removes or drains non-adhering leucocyte and medium supernatant.Alternatively, The supernatant for including non-adhering leucocyte can be removed or drained with centrifugal mixture, it is separated with sediment composite.
In another method, can from the cell mass rich in leucocyte isolating monocytic dendritic cell precursors, wherein in vain Cell prepared using tangential flow filtration device (on June 19th, 1 applies, described in international patent PCT/US03/19428, It is herein incorporated by reference).Tangential flow filtration device for separating the cell colony rich in monocytic dendritic cell precursor, It can include and remove unit, filtrate chamber and filter positioned there between with interaction flowing (cross-flow) room.Filter exists Side retains surface and interaction flow chamber carries out fluid communication, filters surface in opposite side and filtrate chamber carries out fluid communication.Hand over Mutual flow chamber has entrance, suitable for the blood constituent Sample introduction including leucocyte is interacted into flow chamber, is put down with filter retention face OK.Meanwhile, interaction flow chamber provides outlet, is placed between two parties in groove and faces the part that filter retains surface.It is suitable for tangential Flow normally about 1-10 microns of the filter average pore size of filter.Filter average pore size can be about 3-7 microns.It may also include to set Random sample product ingress rate provides the device for entering cross flow one chamber inlet, and control filtrate enters the mistake of filtrate chamber by filter The device of filtering velocity degree.The rate of filtration control device limitation rate of filtration is less than the non-confrontation rate of filtration of filter.Including blood group Sample including point, can be by source device such as leukapheresis device, or contains the sample collected from leukapheresis device The container of product is provided.
Monocytic dendritic cell precursor and for precursor be enriched with cell mass, can cultured in vitro to break up, Partial mature And/or amplification.Prematurity dendritic cells, dendritic cell precursor and the other cells of separation used herein, refer to manually locate The cell that reason is separately present with its natural surroundings, and unnatural products.The cell of separation can be purified, semipurified form is deposited , or under non-natural environment.In short, ex vivo differentiation is commonly included in the presence of one or more differentiation agents, Culture of monocytic dendritic cell precursors or the cell mass with dendritic cell precursor.Appropriate differentiation agent may include, for example carefully The intracellular growth factor (such as cell factor such as (GM-CSF), interleukin-4 (IL-4), interleukin-17 (IL-7), leucocyte Interleukin 13 (IL-13) and/or its combination).In certain embodiments, to be differentiated to form monokaryon thin for monocytic dendritic cell precursor The prematurity dendritic cells in born of the same parents source.
Dendritic cell precursor can be cultivated and broken up under appropriate condition of culture.Appropriate tissue culture medium (TCM) includes, But it is not limited to, AIM-RPMI1640, DMEM, X-Etc..Serum, amino can be supplemented into tissue culture medium (TCM) Acid, vitamin, cell factor such as GM-CSF and/or IL-4, IL-7, IL-13, bivalent cation etc., to promote point of cell Change.In certain embodiments, dendritic cell precursor can be incubated in serum free medium.Condition of culture can optionally exclude any The product of animal origin.Be typically used for dendritic cell culture media combination of cytokines include GM-CSF and IL-4, IL-7 or IL-13, every kind of about 500 units/ml.When dendritic cell precursor is differentiated to form immature dendritic cells, phenotype is similar to skin Langerhans' cells.Immature dendritic cells are generally CD14-And CD11c+, low expression level CD86 and CD83, and can pass through Special endocytosis capture soluble antigen.
Dendritic cell maturation agent may include, be such as, but not limited to, BCG, IFN γ, LPS, TNF α, imidazoquinolie chemical combination Thing, such as imidazoquinolie -4- amines such as 4- amino -2- ethoxyl methyl-α, alpha-alpha-dimethyl -1H- imidazos [4,5-c] Quinoline -1- ethanol (be referred to as R848) or 1- (2- methyl-propyls) -1H- imidazos [4,5-c] quinolin-4-amines, and they spread out Biological (WO00/47719, herein incorporated by reference);The double-strand polyribonucleotide of synthesis, such as poly- [I]:Poly- [C (12) U] Deng;Toll-like receptor (TLR) activator, such as TLR-3, TLR-4, TLR-7 and/or TLR-9;Ripe comprising known induction DC Nucleotide sequence of non-methylated CpG motif etc., or its any combination.It is big that BCG effective doses are generally every milliliter of tissue culture medium (TCM) About 105-107cfu.IFN γ effective dose is generally every milliliter of tissue culture medium (TCM) about 100-1000U.BCG vaccine (BCG) is M.bovis avirulent strain.Refer to complete BCG and cell-wall components, BCG sources for BCG herein Lipoarabidomannans and other BCG components.BCG is optionally at inactivation, such as heat inactivation BCG, formalin Manage BCG etc..Imidazoquinolie compounds such as imidazoquinolie -4- amines, such as 4- amino -2- ethoxyl methyls-α, α - The use effective dose of dimethyl -1H- imidazos [4,5-c] quinoline -1- ethanol (being referred to as R848) is every milliliter of culture medium about 1- 50 μ g, more typically, every milliliter of culture medium use about 5-10 μ g.Imidazoquinolie compounds can be used alone, or with for example BCG and/or IFN γ or other TLR agonist combinations are used.
General immature DC s and effective dose dendritic cell maturation agent, such as BCG and IFN γ effect about 1-10 are small When.Full maturity typically at least needs to incubate 24 hours, more typically incubates about 48-72 hours.Immature dendritic cells It can be cultivated under appropriate condition of culture and Partial mature.Appropriate tissue culture medium (TCM) includes:AIM-RPMI 1640、DMEM、X-Etc..Amino acid, vitamin, cell factor such as GM-CSF can be supplemented into tissue culture medium (TCM) And/or IL-15, bivalent cation etc., to promote the maturation of cell.The GM- that typical combination of cytokines is 500 units/ml CSF and 100ng/ml IL-15.
The Partial mature of prematurity dendritic cells can be monitored for method known to dendritic cells using this area.It can adopt With it is well known that technology, such as flow cytometry, immunohistochemistry, to detect cell surface marker thing.It can also pass through The generation (such as by ELI SA, other immunoassays or utilizing oligonucleotide arrays method) of cell factor is thin to monitor Born of the same parents.In dendritic cell maturation agent, such as in the case of GM-CSF and IL-4 are present, according to present invention culture and the DCs of Partial mature In, it can use it is well known that method determines the level of phosphorylation JAK2 (janus activates kinases 2), to indicate the initial of maturation. The induced expression of cell surface marker thing and cell factor, and signaling molecule phosphorylation, such as jak2 are also regarded as tree Prominent cell is suitable for administration to individual to induce the indicator of immune response.
Immature dendritic cells only ripe a period of time, so that dendritic cells Partial mature.Full ripe DCs loses The ability of intake antigen and the expression for raising costimulation cell surface molecule and cytokine profiles.Specifically, into The expression of ripe DCs MHCI classes and II class antigens is higher than immature dendritic cells, and ripe dendritic cells are generally identified as CD80+、CD83+、CD86+And CD14-.MHC height expression cause DC surface antigens density increase, and costimulatory molecules CD80 and CD86 up-regulation, by the homologue (counterpart) of costimulatory molecules, such as the CD28 in T cell makes T cell activation Signal is enhanced.For the present invention Partial mature dendritic cells ,-as include once be exposed to dendritic cell maturation agent, table Reveal costimulatory molecules --- include but is not limited to the dendritic cells of CD80, CD86 and/or CD54 up-regulated expression.The cell can Whether expression CD83 or not, but keeps the ability of intake and process antigen.In addition, the dendritic cells of Partial mature can produce TNF- α, IL-6, IL-10 and/or IL-12, general prematurity dendritic cells will not produce these molecules.
Full ripe dendritic cells are not the preferred of the present invention, because they can not effective process antigen.In addition, being used for Prematurity dendritic cells in existing method are nor required, because intra-tumor general nature formation immunosuppressive environment, bag Include the cell factor for having notified the larger concentration for preventing prematurity dendritic cells antigen from processing.In the present invention, Partial mature Prematurity dendritic cells lower the cytokine receptor on cell surface, reduce them to being present in the cell in inside tumor space The sensitiveness or reactivity of the immunosuppressive effects of the factor, make cell effectively to process the tumour antigen for being present in intra-tumor.One The dendritic cells of denier Partial mature are ripe in intra-tumor, its generation for example, by TNF-α and IL-12, chemokine receptors CCR7 expression is determined, and cell can migrate at lymph node, and cell will be contacted with T cell there, and up-regulation is anti-to tumour Former immune response.
According to another aspect of the present invention, given before maturation or after Partial mature before patient, DCs can be preserved, Such as Cord blood.The cryopreservative that can be used, includes but is not limited to, dimethyl sulfoxide (DMSO), glycerine, polyvinyl pyrrole Alkanone, polyethylene glycol, albumin, glucan, sucrose, ethylene glycol (ethylene glycol), i- erythrites, D-ribose alcohol, D- Mannitol, D- D-sorbites, i- inositols, D- lactose, Choline Chloride, amino acid, methanol, acetamide, acetin and nothing Machine salt.Cooling is very crucial at a slow speed for control.Different antifreezing agent and different cell types typically using it is different most Good cooldown rate.The heat in molten bonding (fusion) stage that water build-ups ice should typically minimize.Cooling procedure is available, for example Can programme controlled refrigerating plant or methanol bath procedure complete.Sequencing refrigerating plant allows to determine optimal cooldown rate, just In standardization and recursive cooling.Programmable controlled-rate freezer unit, such as Cryomed or Planar, will can be freezed Mode is adjusted to required cooling-rate curves.
After thorough freezing, the DCs of monocytic precursor cells, immature DCs or Partial mature can be transferred to length rapidly In the Cord blood container of phase.In a typical embodiment, sample can Cord blood in liquid nitrogen (- 196 DEG C) or its steaming In gas (- 165 DEG C).For candidate stem cell, specifically from marrow or the candidate stem cell of peripheral blood, the principle, operation, Freezen protective and long-term preservation, are very suitable for the cell of the present invention.It, which is discussed, can be found in, such as following bibliography, This is incorporated herein by reference:Taylor et al., Cryobiology27:269-78(1990);Gorin, Clinics in Haematology 15:19-48(1986);Bone-Marrow Conservation, Culture and Transplantation, Proceedings of a Panel, Moscow, Jul.22-26,1968, International Atomic Energy Agency, Vienna, pp.107-186.
Preferably, frozen cell thaws (be for example held in 37-41 DEG C of water-bath) rapidly, is cooled down immediately after defrosting.Can Can need processing cell in case thaw after cell agglutination.It a variety of methods can be used to prevent aggegation, include but is not limited to, before freezing And/or DNase (the Cancer such as Spitzer 45 are added afterwards:3075-85 (1980)), low molecular weight dextran and citric acid Salt, HES (Stiff etc., Cryobiology 20:17-24 (1983)), etc..If antifreezing agent is poisonous to human body Property, it will should be removed before treatment use in its Partial mature DCs from defrosting.A kind of method for removing antifreezing agent is by it It is diluted to insignificant concentration.The Partial mature DCs of freezing once thaw and recover, you can according to the part herein in regard to non-frozen into Ripe DCs description is administered.
The dendritic cells of Partial mature are given in vivo
The invention provides the side for giving tumor patient Partial mature dendritic cells or cell colony rich in this cell Method.In certain embodiments, by obtaining dendritic cell precursor or immature dendritic cells, in dendritic cell maturation agent, These are thin for such as BCG and IFN γ, or any other as in the presence of maturing agent listed above, differentiation and Partial mature Born of the same parents, to realize the above method.The dendritic cells of Partial mature can be used method and composition well known to those skilled in the art with The acceptable carrier of physiology, excipient, buffer solution or diluent are prepared together.The dendritic cells of Partial mature can directly to Need the patient of immunostimulation.General about 102-1010Cell be suspended in pharmaceutically acceptable carrier.Cell direct injection Enter tumour, or be injected near tumour or tumour bedding, neighbouring or the circulation being in contact with tumour or tumour bedding or lymph area Domain, to ensure that cell can be close to tumour antigen.
Such as, but not limited to, cell can be administered directly to intra-tumor, the tumour after surgical operation removing or tumor resection Drainage (draining) lymph node, flow direction or supply tumour or the tumor invasion device directly contacted around bedding, tumour, with tumour In the blood vessel or lymphatic vessel of official, such as portal vein or pulmonary vein or artery etc..For example chemotherapy or it can put in other oncotherapies While treatment or afterwards, the dendritic cells of the Partial mature of the present invention are given.In addition, the dendritic cells of Partial mature of the present invention can With other reagent co-administereds, the reagent plays promoter effect, makes maturing dendritic cell, and/or close or adjacent to tumour Antigen in nearly tumor region is processed.In addition, dendritic cells can also be prepared or are mixed into sustained-release matrix, implantation tumour Or region inside or around tumour bedding, so that cell is released slowly into inside tumour or tumour bedding, contacted with tumour antigen.
The dendritic cells of Partial mature of the present invention can be given using any formulation and mode for being suitable to administration.For example, cell It can be combined with pharmaceutically acceptable carrier, can be using syringe, conduit, intubation etc. administration.As described above, cell can be formulated in In sustained-release matrix.When being administered by this way, preparation can be administered by the method for the matrix being adapted in use to.It is other to be applied to this The medication and mode of invention are well known to those skilled in the art.
The composition of the present invention itself can be used for individual treatment.In addition, also composition can be combined with any other method Using treating tumour.For example, the inventive method can be with cancer surgery resection, chemotherapy (cytotoxic drug, apoptosis examination Agent, antibody etc.), radiotherapy, cold therapy, brachytherapy, immunotherapy (give the Activates Dendritic of antigen specific mature Cell, NK cells, specific for tumour antigen antibody etc.) etc. be applied in combination.Any of these methods all can also It is used in any combination.Combined therapy can be carried out simultaneously or sequentially, any order of administration determined by treating physician.
In another embodiment, dendritic cells have identical MHC (HLA) haplotype with recipient subjects.It is determined that The method of subject's HLA haplotypes is known in the art.In the relevant embodiments, the dendritic cells of Partial mature and acceptor by Examination person is allosome.Variant cell typically matches with least one MHC allele (for example has at least one but not institute There is MHC allele).In a less typical embodiment, dendritic cells and recipient subjects are entirely allosome each other , but all at least one common MHC allele.
Embodiment
The following example is merely to illustrate various aspects of the invention, and should not be construed as in any way to the present invention's Limit.
Embodiment 1
In this example, the monocytic dendritic cell precursor separated by tangential flow filtration, with being supplemented with 2% human serum The X- of albumin (HSA) and 500U/ml GM-CSFUsing concentration as every milliliter 10 in blake bottle or cell bags6 Monocyte culture.After 5 days, the DC s from blake bottle and cell bags either leave and do not handle (iDCs) or in BCG (1:400 dilutions) and interferon gamma (IFN γ, 500U/ml) (pmDC s) existence condition under Partial mature 4 hours.Collect cell, Wash and mixed 48 hours with the PKH67-A549 tumour cells that equivalent radiofluorescence is marked.After incubation, cell is washed, algae red is used The CD11c monoclonal antibody specifics of albumen (PE) mark are dyed, and through flow cytometry.It is provided in the number of table 1 Value represents the CD11c in DC+Cell, namely mark PKH67 antigen-positive cells (MFI=average fluorescent strengths) percentage Than.Control includes the DCs before analysis just with PKH67-A549 mixing with cells.
Table 1.
These as shown by data, as measured by absorbing the cell percentages of antigen or the numerical value of tumour cell absorbing material, In this experiment, the DCs of Partial mature is compared with immature dendritic cells, in terms of antigen uptake more preferably.
In another example, surgically remove after growth tumour, leukopheresis has been carried out to patient.Pass through Tangential flow filtration purifying monocytes from leukopheresis product.The monocyte of purifying is broken up and led to as described above Cross the BCG (5x10 fixed exposed to heat inactivation and formalin6Cfu/ml) IFN γ (500U/ml) Partial mature.It is formulated for The dendritic cells of the Partial mature of administration, and individual tumors bedding is injected under ultrasound guidance.External test is found, from individual The dendritic cells of separation, can the different in nature cytotoxic T cell response of induced tumor.Moreover, it has been found that the tumor recurrence time is blocked Or be largely postponed.
Embodiment 2
In the present embodiment, human colon cancer cell is transplanted to mouse using well-known process, is allowed to produce heterograft and swells Knurl.After tumour is formed, by animal packet, placebo, immature dendritic cells or part are given into every group of animal tumor Ripe dendritic cells.Then determine the size of each group tumour and be compared.
In short, by 100,000 tumour cell of rib subcutaneous injection to the right, being generated with female Balb/c mouse People's CT26 colon cancer tumours.Treatment starts from the 15th day, and now all mouse substantially carry tumour, and tumor size is 10mm2-45mm2
According to standard scheme dendritic cells are prepared from female Balb/c mouse femurs marrow.In short, after erythrocyte splitting Bone marrow cell and mouse GM-CSF (200U/ml) and I L-4 (200U/ml), in the RPMI 1640 of 10% hyclone is supplemented with It is incubated 13-14 days, the fresh culture of factor-containing was added after the 3rd and the 7th day.Dendron for acquisition Partial mature is thin Born of the same parents, expose cells to the inactivated vaccine (BCG) of 400 times of dilution and the mouse interferon (IFN γ) of every milliliter of 500 units In, wherein BCG activity is every milliliter of 0.5-1x10 before inactivation6CFU.Cell incubation 8 hours, then with 14.5% Metrizamide (metrizamide) layering and in 4 DEG C, 1750rpm is centrifuged 15 minutes.Interface cell is collected, is washed, The frozen ground that can be survived in 10% dimethyl sulfoxide (DMSO) is stored in liquid nitrogen.After being thawed at 37 DEG C, cell is washed twice, resuspended, dense Spend for every 50 microlitres of 1,000,000 cells.
Endoxan processing tumor-bearing mice (50mg/kg) is given in the 15th and 17 day intraperitoneal.The 16th, 17,18 and 21 BMDC is expelled to intra-tumor by it, and (the μ l of simulated injection 50 phosphate buffered saline (PBS), immature DC or maturation 8 are small When DC).The next day determine tumour growth, survey 60 days.
In phosphate buffered saline (PBS) intra-tumor treatment group, the 40th day or before all 4 mouse tumors be all higher than 100mm2.On the contrary, the mice tumors grew that intra-tumor is handled with immature DC slows down, there are 2 tumours small in the 40th day 4 mouse In 100mm2.There are 3 tumours to be less than 100mm in 4 mouse that 40th day is handled with Partial mature DC2, and have in these animals 2 at the 50th day still without obvious tumour.
Embodiment 3
In the present embodiment, human colon cancer cell is administered to by mouse using well-known process, is allowed to produce heterograft and swells Knurl.After first time injection tumour cell, then give the tumour cell of one dosage of animal.After 15 days, by animal packet, to every The dendritic cells of placebo, immature dendritic cells or Partial mature are given in group animal tumor.Each group is then determined to swell The size of knurl is simultaneously compared.
In short, by 100,000 tumour cell of rib subcutaneous injection to the right, being generated with female Balb/c mouse People's CT26 colon cancer tumours.Then at the 3rd day, rib injected 100,000 tumour cells to the left.Treatment starts from the 15th day, now All right rib abdomens of mouse substantially carry tumour, and tumor size is 10mm2-45mm2
According to standard scheme dendritic cells are prepared from female Balb/c mouse femurs marrow.In short, after erythrocyte splitting Bone marrow cell and mouse GM-CSF (200U/ml) and I L-4 (200U/ml), in the RPMI 1640 of 10% hyclone is supplemented with It is incubated 13-14 days, the fresh culture of factor-containing was added after the 3rd and the 7th day.Dendron for acquisition Partial mature is thin Born of the same parents, expose cells to the mouse interferon (IFN γ) of 400 times of inactivated vaccines (BCG) diluted and every milliliter of 500 units In, wherein BCG activity is every milliliter of 0.5-1x10 before inactivation6Colony forming unit.Cell then with 14.5% metrizamide It is layered and in 4 DEG C, 1750rpm per minute is centrifuged 15 minutes.Interface cell is collected, is washed, and in 10% dimethyl sulfoxide (DMSO) frozen ground that can be survived in is stored in liquid nitrogen.After being thawed at 37 DEG C, cell is washed twice, resuspended, and concentration is every 50 microlitre 1 Million cells.
Endoxan processing tumor-bearing mice (50mg/kg) is given in the 15th and 17 day intraperitoneal.The 16th, 17,18 and 21 My god, by dendritic cells be expelled to right rib abdomen intra-tumor (or the μ l of simulated injection 50 phosphate buffered saline (PBS), immature DC, Ripe 8 hours DC or ripe 24 hours DC).The next day determine tumour growth, survey 60 days.
In phosphate buffered saline (PBS) intra-tumor treatment group, all 5 mouse were more than in the front right rib abdomen tumour of the 35th day 100mm2, 3/5 animal at the 40th day or front left rib abdomen tumour be more than 100mm2.On the contrary, treating intra-tumor with immature DC The mice tumors grew on (only right side) slows down:One mouse is in the 60th day bilateral without 4 in obvious tumour, and 5 mouse Only 100mm is respectively less than in the 40th day bilateral tumour2.There are 3 to the 50th day in 5 mouse with Partial mature DC processing in 8 hours When tumour clear up completely.Further declined with tumour growth in the group of Partial mature DC processing in 24 hours.3 in 5 mouse Cleared up completely in the 50th day bilateral tumour, the left rib abdomen tumour of an animal is cleared up completely, right rib abdomen tumor section is controlled (the 40th day < 100mm2), animal both sides tumor section control (the 40th day both sides all < 50mm2)。
Embodiment 4
In the present embodiment, allogeneic tumor is produced with mouse tumor with human tumor cells as described above.By by carefully Born of the same parents combine the dendritic cell maturation agent of BCG and IFN γ exposed to imidazoquinolie R898 or R898, make the immature tree of differentiation Prominent cellular portions are ripe.The dendritic cells, immature dendritic cells and placebo of Partial mature are given to intra-tumor, it is relatively more each The size of group tumour.
In short, forming tumour with mouse according to embodiment 2.Dendritic cells are prepared according to embodiment 2 and 3, but Partial mature cell is by exposing cells to 5 μ g/ml immune response modifier (dendritic cell maturation agent) R848, or 5 μ In the BCG and interferon gamma of g/ml immune response modifier R848 and concentration described in embodiment 2 and 38 hours and obtain.
Processing method be the same as Example 3.The tumour growth of the mouse of phosphate buffered saline (PBS) intra-tumoral injection is not controlled. Individually with 5 mouse of R848 Partial matures DC processing, there is a tumour growth to clear up completely, and combine and use R848 and BCG In 5 mouse of IFN γ Partial mature DC intra-tumors processing, there are 3 tumour growths to clear up completely.In embodiment 3 and 4 9 mouse that tumour is cleared up completely, are attacked for about 30 days after tumor regression with 1,000,000 tumour cells in right rib abdomen.Do not move There is detectable tumour growth in thing, shows the immanoprotection action to CT26 tumour cells.
Embodiment 5
In the present embodiment, the expression that the dendritic cells prepared in above example carry out surface molecular is examined and determine.In short, Dendritic cells in mouse prepared by 2-4 is tested, by flow cytometry after fluorescent antibody staining, to examine and determine cell surface molecule Expression.As a result represented with the average fluorescent strength of the percentage of surface marker Phenotype positive cell and certain surface marker, such as table 2 With 3.
Table 2
Table 3
Embodiment 7
After patient of the diagnosis with solid tumor is using chemotherapy, radiotherapy, cold therapy or brachytherapy treatment, intra-tumor Give the dendritic cells of Partial mature.After treatment, tumor regression and it can prevent that patient tumors from recurring.
Above-described embodiment only for explanation, is not intended to limit the present invention and requires the scope of claim.To those skilled in the art Other changes of the present invention are it is clear that and be contained in accessory claim.All publication cited herein, patent, specially Profit application and other bibliography, its content are also incorporated by reference.

Claims (14)

1. a kind of composition, it is contained in the dendritic cells of the external Partial mature in the presence of dendritic cell maturation agent, and medicine The acceptable carrier for vivo medicine-feeding on, wherein the dendritic cells of described Partial mature keep intake and process antigen Ability, and compared with ripe dendritic cells, wherein the dendritic cells of described Partial mature produce TNF α, IL-6, IL- 10, and/or IL-12, and show costimulatory molecules CD80, CD86 and/or CD54 up-regulation,
Dendritic cell maturation agent therein is that BCG vaccine (BCG), BCG and interferon gamma (IFN γ), lipopolysaccharides (LPS), tumour are bad Necrosis factor α (TNF α), imidazoquinolie compounds, the double-strand polybribonucleotide of synthesis, Toll-like receptor (TLR) excitement Agent, the nucleotide sequence containing non-methylated CpG motif ripe known induction DC, or its any combination.
2. the composition of claim 1, dendritic cells therein are obtained from skin, spleen, marrow, thymus gland, lymph node, Cord blood or outer All blood.
3. the composition of claim 2, wherein described dendritic cells are obtained from individual to be treated.
4. the composition of claim 2, dendritic cells therein are obtained from the healthy individuals matched with individual HLA to be treated.
5. the composition of claim 1, wherein the LAM that the BCG originates comprising complete BCG or BCG.
6. the composition of claim 1, wherein the BCG is the BCG of the heat inactivation or BCG of formalin processing.
7. the BCG of the composition of claim 1, wherein effective dose is every milliliter of tissue culture medium (TCM) 105-107Cfu, effective dose IFN γ is every milliliter of tissue culture medium (TCM) 100-1000 unit.
8. the composition of claim 1, wherein described imidazoquinolie compounds are imidazoquinolie -4- amines.
9. according to claim 8 composition, wherein imidazoquinolie -4- amines be 4- amino -2- ethoxyl methyls-α, α - Dimethyl-lH- imidazos [4,5-c] quinoline -1- ethanol, or 1- (2- methyl-propyls) -1H- imidazos [4,5-c] quinoline -4- Amine, or derivatives thereof.
10. the composition of claim 1, the double-strand polyribonucleotide of synthesis therein is poly- [I]:Poly- [C (12) U].
11. any one of claim 1-10 composition, which part mature dendritic cell is used as radiotherapy, chemotherapy or its combination Assistant agent apply.
12. any one of claim 1-10 composition, wherein the composition includes 102-1010Partial mature dendron Cell.
13. any one of claim 1-10 composition, the ripe dendritic cells of which part are freezed after Partial mature Preserve.
14. any one of claim 1-10 composition, it is used for the inducing antitumor immunity in the patient of this treatment of needs Reaction, wherein, the composition is administered for the circulatory system or lymphatic system of patient.
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